The role of inadequate health literacy skills in colorectal cancer screening
The role of inadequate health literacy skills in colorectal cancer screening
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DOI：
10.1081/cnv-100000154
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发表时间：
2001-01-01
影响因子：
2.4
通讯作者：
Bennett, CL
中科院分区：
文献类型：
--
作者：
Davis, TC;Dolan, NC;Bennett, CL
结直肠癌非常适合早期检测策略，这可能会提高生存率。用粪便隐血试验（FOBT）或乙状结肠镜检查筛查已被证明可以在早期发现癌前息肉或癌症。然而，一般来说，受教育程度有限和社会经济地位较低的人很少参加筛查项目，结肠直肠癌筛查率也很低。低识字率在受教育程度有限和收入低的人群中很常见，这可能是理解患者对结直肠癌筛查决策的一个被忽视的因素。本文提供了焦点小组关于结直肠癌筛查的信息，我们在癌症筛查和扫盲的相关文献的背景下进行了检查。使用健康信念模型，我们研究了健康素养技能不足与结直肠癌筛查率低之间的关系。该理论模型还为提高知识、态度、信念和筛查率的策略提供了见解。
Colorectal cancer is ideally suited for early detection strategies that are likely to improve survival rates. Screening with either a fecal occult blood test (FOBT) or flexible sigmoidoscopy has been shown to identify precancerous polyps or cancers in early stages. However, persons with limited education and of lower socioeconomic status infrequently participate in screening programs in general and have very low rates of colorectal screening. Low literacy, which is common among persons with limited education and low income, may be an overlooked factor in understanding patients' decision making about colorectal cancer screening. This article provides information from focus groups about colorectal cancer screening, which we examine in the context of relevant literature on cancer screening and literacy. Using the health belief model, we examine the association between inadequate health literacy skills and low rates of colorectal cancer screening. The theoretical model also provides insights into strategies for improving knowledge, attitudes, and beliefs and screening rates for this challenging patient population.